Provider Demographics
NPI:1457234999
Name:RIO ADVANCED DIAGNOSTICS LLC
Entity type:Organization
Organization Name:RIO ADVANCED DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNA, FNP-C
Authorized Official - Phone:602-610-7274
Mailing Address - Street 1:3317 S HIGLEY RD STE 114-425
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-5436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6101 S RURAL RD STE 112
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-2910
Practice Address - Country:US
Practice Address - Phone:602-610-7274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIO MEDICAL GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty